Welcome to a New World of Healthcare Solutions
For population health analytics, care management, benefits administration, operational efficiency, and maximizing quality, profitability, and satisfaction.
One Platform - Many Solutions
Finally....your data, clean and connected, becomes a single source of truth that reveals clear insight, drives intelligent automation, and optimizes quality of care.
Administer benefits more effectively for highest quality and member sat with AI-powered insights into the right support for every member.
Manage your organization efficiently and give staff the tools they need to excel with intelligently automated “next-best action” workflows.
Run the business at optimal performance with streamlined operations and fully-compliant programs based on clean, integrated data from across the enterprise.
Who We Serve
Commercial Health Plans
A one-stop shop for care management, benefits administration, process automation, organizational optimization, and efficiency across the enterprise.
Exceed your value-based care benchmarks leveraging combined clinical and claims data to reduce risk, close gaps, and ensure optimal outcomes.
Accountable Care Organizations
From risk-stratification to gap identification and closure strategies, our capabilities are unmatched, and built in SDOH criteria helps you reach at-risk communities with effective programs.
Medicare Advantage Plans
Built-in risk adjustment to drive consistent success in PMPM payment models and maximize Star ratings performance.
Jiva Healthcare Enterprise Management Platform
Your one-stop shop for a comprehensive set of practical, AI-powered solutions to today's – and tomorrow’s – challenges. Empower your teams to accurately administer benefits, manage the organization, and profitably run the business for the best outcomes for everyone.
Jiva Healthcare Enterprise Management Platform, an Integrated ecosystem for:
Single Source of Truth
Data access, integration, and transformation to create a single source of truth.
AI-powered population health insights into the dynamics that drive cost, risk, and quality.
Intelligent workflow automation for care management, embedding Best in KLAS practices for personalized, whole health interventions, and support.
Critical process automation, like electronic prior authorization, which applies advanced logic to allow your experts to focus on highest value tasks.
ZeOmega is #1 Best in KLAS for Payer Management Solutions 2022 and 2023
The Best in KLAS award serves as a signal to provider and payer organizations that they should expect excellence from the winning vendors. Performance metrics include culture, loyalty, operations, product, relationship, and value.
Impact of the New CMS Healthcare Interoperability Rule
Much of the direction of the 2020 proposed rule is in the new proposed rule, particularly the sharing of prior authorization decisions/status with patients.
ZeOmega Ranked #1 Best in KLAS for Payer Care Management Solutions
Zeomega achieved the highest score of all care management solution vendors in the just-published 2023 Best in KLAS: Software & Services Report.
The power of SDOH insights: How data can help providers and payers close care gaps
This webinar will examine strategies to address social determinants of health across the care continuum.
Best Practices for Healthcare Application and FHIR® API Developers
In July of 2021, the Creating Access to Real-time Information Now (CARIN) Alliance released the CARIN Alliance Application Registration Manual (version 0.1), a guide discussing the best practices and recommendations for payers, app developers, and implementers of Fast Healthcare Interoperability Res
How Kern Health Systems Uses Jiva to Consolidate Data and Identify Opportunities to Improve and Streamline Care Management
Jiva Provides the Solutions Needed to Execute Holistic Population Health Management and Easily Adapt to Business Growth and Market Shifts.